Our results showed a high incidence of major fractures in the dialysis patients, around 3.29 per 100 person-years, which is nearly three times greater than that reported for elderly patients without CKD.[19] This incidence rate is similar to that presented in the Dialysis Outcomes and Practice Patterns Study [5] and the U.S. Renal Data System.[3] Of note, we found a link between fetuin A and incident fractures in our dialysis patients, that is, a higher fetuin A level predicted a lower incidence of fractures (Table 3, Fig 2). Here, AHSG is linked to chronic kidney disease.